摘要
目的探讨进行子宫全切术患者在术前术后的心理状态变化及可行护理对策。方法对行子宫全切术的42例患者采用抑郁自评量表(SDS)、焦虑自评量表(SAS)及症状自评量表评分,比较患者术前术后评分差异,并针对量表表现突出问题进行对策分析。结果 42例患者术后SDS、SAS量表评分高于术前,差异均有统计学意义(均P<0.001)。症状评分量表比较结果表明,患者手术前后躯体化、人际关系敏感、抑郁及焦虑4个分量表评分差异均有统计学意义(均P<0.001)。患者术前术后心理状态诱因调查表明,术后性生活质量下降忧虑(52.4%)及手术致更年期提前忧虑为(26.2%)为主要诱因。结论患者术前术后出现明显心理波动,应注重对患者的心理护理过程。
Objective To investigate the changes of psychological status on patients with uterine tumor before and after the total hysterectomy and explore the feasible nursing measures. Methods Totally42 cases of patients were scaled with the self-rating depression scale（ SDS）,self-rating anxiety scale（ SAS） and the symptom checklist 90（ SCL90） before and after the oparation and the scores were compared. Some nursing measures according to the scales were also explored. Results There were significant differences when the SDS and SAS scores of the patients were compared before and after the operation（ P〈 0. 001）. Additionally,the statistical analysis result showed the scores of body,interpersonal sensitivity,depression and anxiety component in patients were significantly different before and after the operation（ P〈 0. 001）. The investigation of cause indicated that the anxiety of the decrease of quality of the postoperative life（ 52. 4%） and the early menopause caused by the operation（ 26. 2%） were the main inducement.Conclusion There are significant psychological fluctuations of patients treated with total hysterectomy during the operation and we should pay attention to the psychological nursing.
出处
《中国肿瘤临床与康复》
2015年第12期1505-1507,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
子宫肿瘤
心理状态
护理
Uterine neoplasms
Psychological state
Nursing
